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  • Title: [Cavernous angiomas in the differential diagnosis of cerebrovascular malformations].
    Author: Ries F, Beyenburg S, Jerusalem F.
    Journal: Fortschr Neurol Psychiatr; 1991 Apr; 59(4):141-6. PubMed ID: 2055587.
    Abstract:
    Cavernous angiomas, although rare, represent a clinical and a neuroradiological challenge in the differential diagnosis of cerebrovascular malformations. We report about three cases with a total of seven cavernous angiomas. Clinical features include intracerebral hemorrhage, epileptic seizures and focal neurological signs. Diagnosis is based on typical findings in MRI in combination with an angiography presenting a normal vascular situation or an avascular mass lesion, whereas CT-scan shows nonspecific features. Surgical removal is generally recommended, but could not be done in our cases. A histological verification of a clinically typical diagnosis is not mandatory. Indication for proton beam irradiation still has to be discussed. A definite therapeutical approach will have to consider the natural history in a larger number of cases.
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